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Perceptions of the media in a community exposed to serial murder.

This study examined resident perceptions of the media in a community exposed to serial murder. Residents were surveyed regarding the popularity, accuracy and trust of various information sources. One hundred eighty-four residents (48% response rate) responded to mailed questionnaires. Results indicated that traditional sources of news (television, radio, and newspapers) were the most popular sources of information. However, police press conferences were judged to be the most accurate and trustworthy. Residents viewed media reports on methods of reducing personal risk as beneficial and enhancing feelings of safety. However, details of mutilations and sensational reporting were judged to increase personal fears and led to widespread dissatisfaction with the media.

Adult↗

Impediments to recruitment in the Canadian National Breast Screening Study: response and resolution.

Eighteen months after the 1980 initiation of the Canadian National Breast Screening Study (NBSS) (a multicenter randomized controlled trial that will involve 90,000 women), the Toronto center experience such severe problems with recruitment that the study as a whole was jeopardized. Impediments to recruitment arose in five areas. The design of the protocol was criticized by some physicians and participants, a problem that could only be met by justifying the design. A second problem was a lack of understanding of the concept of screening and mistaken assumptions about what participation in the NBSS entailed. Thirdly, recruitment problems occurred at a time when the media were focusing much attention on the hazards of low-level ionizing radiation. Fourthly, women were found to have a variety of personal reasons for delaying or avoiding entry into the study. Finally, factors characteristic of the Canadian milieu such as universal health coverage may have acted as a disincentive to entry. To improve physician understanding, NBSS personnel made presentations at medical rounds and scientific meetings; articles were written for medical journals. To win support from the lay public, talks were given to recreation or work-based groups. Appearances on radio and television talk shows were sought out. Mass mailings to university staff and professional associations did not produce large responses, nor did advertisements on television, radio, or in newspapers. The distribution of a check insert in a government mailing gave rise to hundreds of appointments across Canada. However, for generating an ongoing adequate level of recruitment, the best measure has been the mailing of personally addressed letters to eligible women followed by a telephone call. Data on response rates, cost and women's attitudes toward the study are reported. By early 1983, Toronto met its recruitment target of 12,000.

Adult↗

Implementation of mass media community health education: the Forsyth County Cervical Cancer Prevention Project.

The Forsyth County Cervical Cancer Prevention Project (FCP) is a community-based health education project funded by the National Cancer Institute. The target population includes around 25 000 black women age 18 and older who reside in Forsyth County, North Carolina. The overall goal of the program is to prevent mortality from cervical cancer by promoting Pap smears and return for follow-up care when needed. Based on the principles of social marketing, a plan to reach the target population with mass media educational messages through electronic and print channels was developed. Guided by marketing objectives, the target population was divided into relatively discrete segments. The segments included church attenders, patients in waiting rooms of public and selected health providers, female students at local colleges, shoppers, viewers of radio and television, newspaper readers, and business owners and managers. Introduction of the program was based on strategies developed for reaching the target population in each segment with television, radio and print mass media messages. Qualitative assessment of the mass media developed by the program indicated that all forms of communication helped to increase awareness of the program.

Adolescent↗

[Influence of radio and television sets on implanted cardiac pacemakers (author's transl)].

Investigations done on implanted pacemakers with a low threshold against extraneous signals and in-vitro tests under suitable conditions both showed that pacemaker wearers may go near television and accessories such as ultrsound distant control or flexless infrared ear phones without any danger. Radio and television sets are fitted to an increasing degree with electronic sensor switches which initiate various functions after a slight touch. This satisfies present regulations of German Electrical Engineers concerning permitted contact currents. However, pacemaker patients can cause impulse defects by use of sensor switches provided the contact current is less than 25 muA. Sensor technique will in the future be introduced for everyday use on a large scale. Therefore, pacemaker patients should be alerted to the possibilities of an influence, and industry should be made to reduce contact currents in sensors to values below 20 muA.

Infrared Rays↗

Cancer incidence near radio and television transmitters in Great Britain. II. All high power transmitters.

A small area study of cancer incidence, 1974-1986, near 20 high power television (TV) and frequency modulation (FM) radio transmitters in Great Britain was carried out to place in context the findings of an earlier study around the Sutton Coldfield transmitter. The national database of postcoded cancer registrations was used with population and socioeconomic data from the 1981 census. Cancers examined were adult leukemias, skin melanoma, and bladder cancer, following the findings in the earlier study of significant declines in risk of these cancers with distance from the Sutton Coldfield transmitter. Childhood leukemia and brain cancer were also examined. Statistical analysis was performed for all transmitters combined, four overlapping groups of transmitters defined by their transmission characteristics, and for all transmitters separately. There were 3,305 adult leukemia cases from 0-10 km (observed/expected (O/E) ratio = 1.03, 95% confidence interval (CI) 1.00-1.07). A decline in risk of adult leukemia was found for all transmitters combined (p = 0.05), two of the transmitter groups, and three of the single transmitters; for all transmitters combined, observed excess risk was no more than 15% at any distance up to 10 km, and there was no observed excess within 2 km of transmitters (O/E ratio = 0.97, 95% CI 0.78-1.21). For childhood leukemia and brain cancer, and adult skin melanoma and bladder cancer, results were not indicative of a decline in risk with distance from transmitters. The magnitude and pattern of risk found in the Sutton Coldfield study did not appear to be replicated. The authors conclude that the results at most give no more than very weak support to the Sutton Coldfield findings.

Adolescent↗

Cancer incidence near radio and television transmitters in Great Britain. I. Sutton Coldfield transmitter.

A small area study of cancer incidence in 1974-1986 was carried out to investigate an unconfirmed report of a "cluster" of leukemias and lymphomas near the Sutton Coldfield television (TV) and frequency modulation (FM) radio transmitter in the West Midlands, England. The study used a national database of postcoded cancer registrations, and population and socioeconomic data from the 1981 census. Selected cancers were hematopoietic and lymphatic, brain, skin, eye, male breast, female breast, lung, colorectal, stomach, prostate, and bladder. Expected numbers of cancers in small areas were calculated by indirect standardization, with stratification for a small area socioeconomic index. The study area was defined as a 10 km radius circle around the transmitter, within which 10 bands of increasing distance from the transmitter were defined as a basis for testing for a decline in risk with distance, and an inner area was arbitrarily defined for descriptive purposes as a 2 km radius circle. The risk of adult leukemia within 2 km was 1.83 (95% confidence interval 1.22-2.74), and there was a significant decline in risk with distance from the transmitter (p = 0.001). These findings appeared to be consistent over the periods 1974-1980, 1981-1986, and were probably largely independent of the initially reported cluster, which appeared to concern mainly a later period. In the context of variability of leukemia risk across census wards in the West Midlands as a whole, the Sutton Coldfield findings were unusual. A significant decline in risk with distance was also found for skin cancer, possibly related to residual socioeconomic confounding, and for bladder cancer. Study of other radio and TV transmitters in Great Britain is required to put the present results in wider context. No causal implications can be made from a single cluster investigation of this kind.

Adolescent↗